OIG issues Special Fraud Alert on business arrangements with physician-owned entities *

USA - April 12 2013
On March 26, the HHS Office of Inspector General (OIG) issued a Special Fraud Alert (Fraud Alert) reiterating its long-standing concern that the…

Co-authors: Elizabeth M. Mills, Ellen H Moskowitz, Edward S Kornreich, Malcolm J Harkins, III, Herschel Goldfield.

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Placing limits on the State Action Doctrine, the Supreme Court subjects local government hospitals to scrutiny under the antitrust laws *

USA - February 21 2013
Recent major regulatory and technological developments have brought forth historic changes to the health care market. Health care providers have…

Co-authors: Alan R Kusinitz, Ryan P Blaney, Monte I Dube, Colin Kass, Helene D Jaffe.

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HHS issues HIPAA/HITECH Omnibus Final Rule ushering in significant changes to existing regulations *

USA - January 29 2013
"Sweeping changes" is how Leon Rodriquez, of the Department of Health and Human Services Office of Civil Rights (OCR), characterized the effect of…

Co-authors: Kristen J Mathews, Ellen H Moskowitz, Ryan P Blaney, Edward S Kornreich, Herschel Goldfield.

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Small practice subject to $100,000 payment to resolve alleged HIPAA violations *

USA - April 30 2012
Phoenix Cardiac Surgery, P.C. is a professional practice owned by two physicians in Phoenix, AZ.

Co-authors: Robyn Sterling, Herschel Goldfield.

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CMS's proposed rule on Medicare overpayments *

USA - February 28 2012
On February 14, 2012, the Centers for Medicare and Medicaid Services (CMS) proposed a rule implementing Section 6402(a) of the 2010 Affordable Care Act (ACA), which requires health care providers and suppliers to report and return Medicare and Medicaid overpayments no later than 60 days after the overpayment was identified or the date any corresponding cost report is due.

Co-authors: Elizabeth M. Mills, Ryan P Blaney, Edward S Kornreich.

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